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Organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Active
Organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Active
Parent organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Other names
MARQUETTE GENERAL BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
DLP MARQUETTE PHYSICIAN PRACTICES INC
Authorized official
MONICA BOWMAN (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-3985
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-3985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/17/2012
Last updated
05/31/2024
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